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DASCO OUNTY, FLORIDA <br /> i. <br /> Permit No. <br /> Date Permitted- _-2v <br /> Builder Name/Owner Name J) Control#' <br /> County Parcel No. 3s 2.6 �1 6/(57-b D tS�0 0001 SubDiv: Z�-_4C_14 <br /> Address/Location � � AT `j}r yes rr <br /> c <br /> Classiflcatlonrrype of UsQ I <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 7,,,•Z 3� <br /> Exempt ❑Yes [] No How Determined <br /> r. <br /> lrnpact Fe®Amount $, ` � '��Z-- Zone No. TAZ: <br /> SCHOOLdMPACT-FEE- <br /> E Account (056) Single=Family Detached House Amount <br /> (007) Mobite:Home <br /> i (068) Other Residential <br /> 123) Collection fee <br /> ` Exempt []Yes. n No How Determined <br /> j PARKS.AND,RECREATION'FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> Zone TOTAL AMOUNT $ 576 <br /> Exempt Q Yes Q No How.Determined— <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> .Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes No How-Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATE.OF:.OGCUPANCY;INILL BE ISSVEQ.:OR,FINAL;INSPECTION <br /> PERFORMED UN`NL TH046TAL At OLINTS Lfitil)-HAVE <br /> BEEN PAID AND .. •. . <br /> RECEIPTED EOR'-BY A CENTRAL:PERM177iNdi OFFICE,OF,PASCO COUNTY <br /> Acknoxriedgement,below.does not lmpiy acceptance of concurrence,but s(mply.recelpt ata coo:df thia form;piecing <br /> ft building pwmit amen on aotfco of ttdo assessment and tho conditions'of paymebt for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />